We are seeking a Coding Auditor and Education Specialist PSJH to audit medical records to ensure compliance with the organization's coding procedures and standards. Reviews insurance payments and denials and recommends billing corrections. Serves as a coding expert, working with the Coding Supervisor/Manager and the Clinical Documentation Improvement Program (CDIP) Data Integrity Liaison to ensure compliance with Official Coding Guidelines for Coding and Reporting, coding conventions and regulatory oversight agencies.

Assist with the development and implementation of policies, procedures, standards and initiatives

Serve as Epic super-user and recommends system modifications to improve the organization’s coding functions

Develop and revise educational objectives and curriculum applicable to all Epic coding processes

Assist with developing goals, standards, and objectives that directly support the strategic plan and vision of the organization

Provide positive feedback in a constructive manner

Develop and maintain good working relationships with peers, physicians and other staff members

Work in a high volume environment while maintaining high quality standards

Adhere to established company compliance, policies, procedures and protocols

Qualifications:

Required qualifications for this position include:

High School diploma or equivalent

5 years experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVU’s.

Certification: Required Certified Professional Coder (CPC credential) or Registered Health Information Technician (RHIT) or holds at least one of the following coding credentials from the American Academy of Professional Coders (AAPC) and/or American Health and Information Management Association (AHIMA):

Registered Health Information Management Technician (RHIT)

Certified Coding Specialist (CCS)

Certified Coding Associate (CCA)

Certified Coding Specialist – Physician Based (CCS-P)

Certified Professional Coder (CPC)

Certification: Current BLS – Healthcare Provider (must be AHA accredited) or obtained within 90 days of hire

Extensive knowledge of CMS E&M documentation requirements

The ability to research and audit provider charges to ensure they are properly processed

Ability to effectively communicate to patients, customers, co-worker or leaders via written or verbal communication

Exhibit a high level of professionalism in all communication with all customers, both internal and external

Preferred qualifications for this position include:

Associates degree or higher

Previous experience teaching documentation guidelines to Providers

About the department you will serve.

Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.